A Study of Key Factors of Select Self-paid for Laser Surgery in Male Prostate Hypertrophy

• Main Authors: Chang-Chin Tu, 杜滄進
• Other Authors: Dong-Jenn YANG
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/s7w8fb

碩士 === 義守大學 === 管理碩博士班 === 104 === Prostate hypertrophy is male longevity disease. When a man is getting older, the prostate cells are also followed gradually hyperplasia. Resulting in larger volume oppression to the urethra, it causes urinary tract problems. On the current surgical treatment are: Transurethral resection of the prostate, transurethral incision of the prostate, transurethral electrovaporization of the prostate and open prostatectomy. These surgeries are paid by the National Health Insurance. The progress of medical technology have been introduced into the laser treatment on prostate hypertrophy in decades, utilizing vaporization or cutting to remove hypertrophy of the prostate. The researches indicate that laser treatment of prostate hypertrophy surgery has the advantages of less bleeding, shorter hospital stays, merger to reduce postoperative complications, for high risk (such as high blood pressure, heart disease) or the patient is not suitable for anesthesia and surgery. The lasers introduced to Taiwan currently include greenlight laser, thulium laser, holmium laser, Nd-YAG laser and so on. Due to the high cost of laser, it is not included in health insurance payments currently. When the patients choose laser treatment, they must afford higher expense for materials fee. This project is based on the model of planned behavior theory. A questionnaire is designed to the study on the men over the age of 40, analysis of men to choose self-paid laser surgery for prostate hypertrophy behavior attitude, subjective norm, perceived behavioral control, behavioral intentions, and behavior. It also analyzes the age, marital status, job occupation , place of residence , education level, household income , family members who have medical background and commerce insurance beyond the national health insurance or not, affecting the relationship with each variable factors . To assume the more positive effect, behavioral intention will be more positive According to the research result, the theory of planned behavior is predictable to affect men choose to pay for laser surgery for prostate hypertrophy factors and explain their behavior. This study provided recommendations for government authorities, medical and health institutions, public people and future researchers as the references for choosing self-paid medical behavior.